UCAOA Lifetime Membership Award
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Lifetime Membership Award

 

Significant contributions of an individual UCAOA member to the Urgent Care Association of America are recognized with awarding of lifetime membership. The recipient will be granted complimentary membership in UCAOA for life as well as complimentary registration to the UCAOA National Urgent Care Convention the year he or she receives the award.  Before filling out the form, please ensure that the nominee meets the following criteria:

  • Nominees must be UCAOA Members for over 5 years
  • Nominees must demonstrate impeccable service to the association
  • Nominees have shown active involvement with UCAOA Committees, volunteer programs, and events
  • Nominees cannot be current Awards Committee Members and Board Directors

Instructions

  • All required fields are marked with a red asterisk (*)
  • Any field name that is underlined has additional instructions/details
  • Please do not nominate one person for multiple categories. The Awards Committee can determine if the nominee is eligible for more than one award. 
  • Deadline to Nominate: 5pm CT on February 20, 2017
  • If you have questions, please email them to agarrido@ucaoa.org

 

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